Always Best Care
Always Best Care Senior Services is a 1996-founded, Rocklin, California-based franchisor providing non-medical in-home care, skilled home health, and assisted living referral services to seniors across approximately 280 territories in 30+ U.S. states and two Canadian provinces.
- Company typePrivate
- Founded1996
- HeadquartersRoseville, United States
- Headcount1–10
- GTM typeB2C
- OfferingServices
What Always Best Care does
Always Best Care Senior Services is a Rocklin, California-based senior care franchisor founded in 1996 by Michael Newman. The company provides non-medical in-home care, skilled home health services (licensed nursing and therapy), and assisted living referral services across approximately 280 territories in more than 30 U.S. states and two Canadian provinces. The core delivery model is a franchise network in which independent franchisees own and operate local offices, hire caregivers, and serve seniors and families in their assigned territories, while the corporate entity provides brand, training, operational systems, and marketing support.
The company supplements traditional caregiving with a Special Care Services technology portfolio that includes the Balance Tracking System (a computerized fall risk assessment tool), Remote Patient Monitoring, Personal Emergency Response System (marketed as the #1 medical alert system in the US), the 24/7 Virtual Care Agent, and the Always In Touch telephone reassurance program. These tools are positioned as technology-enabled differentiators within the franchise offering, though the disclosure does not describe proprietary AI/ML models. The product portfolio spans care models including 24-hour shift care, live-in care, hospice support, dementia care, veterans assistance, respite care, and hospital-to-home transition coordination.
From a revenue perspective, the franchisor earns initial franchise fees and ongoing royalties from its 280+ territory network, while local franchisees generate client service fees (typically hourly home care rates) and assisted living referral commissions from contracted communities. Named institutional relationships include a hospital referral collaboration with Silver Cross Hospital in New Lenox, Illinois, and the Cleveland South franchise (owned by Neil Golli) was named among Newsweek's Top 300 Home Health Agencies 2026. In November 2025, NexPhase Capital acquired Always Best Care from Gemini Investors, with terms undisclosed, installing a new private equity sponsor positioned to accelerate network expansion. The company is led by President and CEO Liz Johnson, with founder Michael Newman maintaining founder status.
Always Best Care firmographics
Firmographics- Name
- Always Best Care
- Legal name
- Always Best Care Senior Services
- Website
- https://alwaysbestcare.com
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Always Best Care Senior Services is a 1996-founded, Rocklin, California-based franchisor providing non-medical in-home care, skilled home health, and assisted living referral services to seniors across approximately 280 territories in 30+ U.S. states and two Canadian provinces.
- Ownership category
- akta.pro rank
Always Best Care industry classification
Industry- Product category
- Senior In-Home Care Services
- NAICS
- Services for the Elderly and Persons with Disabilities (624120), Home Health Care Services (6216), Home Health Care Services (621610)
- SIC
- Services-Home Health Care Services (8082), Services-Social Services (8300)
- akta.pro primary industry
- Home Care Franchise Network Staffing & Placement (HSABAMAJ)
- akta.pro secondary industries
- Live-In & 24/7 In-Home Care (HLADAGAI), Housing & Placement Coordination (Assisted Living, Memory Care, SNF) (HSABAIAL), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG), Live-In Caregiver Placement & Matching (HSABAMAD)
Keywords
Where Always Best Care is headquartered
LocationHeadquarters
- HQ city
- Roseville
- HQ country
- United States
- HQ region
- North America
Offices7 records
Markets served
Always Best Care business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Infrastructure, Technology or R&D
Revenue model
- Franchise Fees and Royalties: Always Best Care operates as a franchisor. Franchisees pay initial franchise fees and ongoing royalties for the right to use the Always Best Care brand, operational model, training, and support systems. This is the primary revenue stream for the franchisor.
- Client Service Fees: Franchise locations charge fees to clients and families for non-medical in-home care, skilled home health, and senior living referral services. Fee structures are set at the franchise level and may vary by location and level of care.
- Assisted Living Referral Fees: Always Best Care earns referral fees from contracted assisted living communities when they place seniors through their referral services. This allows referral services to be provided at no charge to clients.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Monthly | No-obligation care consultation included as standard |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels7 records
Always Best Care product offering
Product offeringCore offering
Always Best Care is a senior care franchisor that delivers non-medical in-home care, skilled home health, and assisted living referral services to seniors and their families. Its network of approximately 280 independently owned franchise territories across more than 30 U.S. states and two Canadian provinces provides personal care, companionship, dementia and chronic condition support, post-hospital transitions, and technology-enabled special care services. Revenue at the corporate level is generated primarily through franchise fees and royalties, while franchisees bill clients directly for care delivery and earn referral fees from partner assisted living communities.
Product overview
Always Best Care is a senior care franchisor offering a comprehensive portfolio of in-home care services. The core offering consists of non-medical in-home care, skilled home health services (provided by licensed nurses and therapists), and senior living referral/placement services. These are supplemented by specialized care modules including dementia care, veterans assistance, and respite care. The company also provides an advanced technology suite of special care services including the Balance Tracking System, Remote Patient Monitoring, Personal Emergency Response System (Lifeline), Always In Touch telephone reassurance, and 24/7 Virtual Care Agent. Personal care services are delivered through various care models including 24-Hour Care (rotating shifts), Live-In Care (residential caregiver), and companion and errand services. The company operates approximately 280 territories across more than 30 U.S. states and two Canadian provinces as a franchise model.
Differentiator
Problem solved
Functional benefit
Products and services
- In-Home Care (Non-Medical Personal Care)
- Senior Living Referral Services
- Skilled Home Health
- Special Care Services (Technology-Enabled Monitoring)
- Dementia Care Services
- Veterans Assistance Program
Quantifiable outcome
- Cleveland South franchise named among Newsweek's Top 300 Home Health Agencies 2026 out of 12,000+ agencies nationwide
- +2 more outcomes
Companies that use Always Best Care
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles4 records
Always Best Care technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Always Best Care partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered minor and core.
- Nixon Peabody LLPminorNixon Peabody served as legal counsel to Always Best Care during the NexPhase Capital transaction.
- McDermott Will & Schulte LLPminorMcDermott Will & Schulte LLP served as legal counsel to NexPhase Capital during the acquisition of Always Best Care.
- Silver Cross HospitalcoreAlways Best Care of Chicagoland franchise has a direct collaboration with Silver Cross Hospital in New Lenox, Illinois for hospital referrals and post-hospitalization care transitions. This partnership aligns with rapid growth in Illinois's 65+ population and enables seamless patient handoffs from hospital to home care.
Scale indicators5 records
Recent moves6 records
Expansion highlights5 records
Always Best Care competitors and assessment
Company assessmentBroad incumbents
- BrightSpring Health Services: Large diversified home and community-based health services platform (public, KKR-backed) operating across home health, hospice, pharmacy, and personal care. Overlaps with Always Best Care's in-home care and referral offerings but at much greater scale and capital intensity.
- Interim HealthCare: National franchisor of home health, hospice, and personal care services with both franchise and company-owned operations. Comparable to Always Best Care across both non-medical and skilled home health lines, with a broader clinical offering.
Direct peers
- Comfort Keepers: Senior in-home care franchise network offering non-medical personal care, companionship, and specialized care (dementia, respite). Operates with similar franchise economics and target customer (seniors and families) as Always Best Care.
- Visiting Angels: National franchise network providing non-medical in-home elder care, including live-in, Alzheimer's/dementia, and respite services. Competes directly with Always Best Care across overlapping US markets with a similar franchise-based delivery model.
- Right at Home: Franchise network providing in-home senior care and assistance, including specialty programs for dementia, disability, and post-hospital recovery. Directly comparable to Always Best Care's non-medical care, skilled coordination, and franchise model.
- Senior Helpers: Franchise-based senior home care provider offering personal care, dementia care (including proprietary Senior Gems program), and chronic disease support. Closely comparable to Always Best Care in service mix and franchise distribution.
- Home Instead (Honor Technology): Largest non-medical in-home senior care franchise network in the US, operating a similar franchise-driven model across thousands of territories. Direct head-to-head competitor to Always Best Care in caregiver-staffing placement and home care services.
- A Place for Mom: Senior living referral and advisory platform connecting families to assisted living, memory care, and home care providers. Direct competitor to Always Best Care's assisted living referral services line and competes for the same family decision-maker.
- Synergy HomeCare: National in-home care franchise offering personal care, companionship, and specialized services (dementia, palliative). Competes in the same franchise-based, non-medical in-home care category as Always Best Care.
Emerging players
- Help at Home: Personal care services provider focused on Medicaid waiver and dual-eligible populations. Provides in-home caregiver services that partially overlap with Always Best Care's non-medical offerings, though with greater concentration on government-funded reimbursement.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
Always Best Care social profiles
Digital presenceAlways Best Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
Always Best Care leadership team
Management profileNumber of profiles
Profiles2 records
Always Best Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Always Best Care M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Always Best Care
What does Always Best Care do?
Always Best Care is a senior care franchisor that delivers non-medical in-home care, skilled home health, and assisted living referral services to seniors and their families. Its network of approximately 280 independently owned franchise territories across more than 30 U.S. states and two Canadian provinces provides personal care, companionship, dementia and chronic condition support, post-hospital transitions, and technology-enabled special care services. Revenue at the corporate level is generated primarily through franchise fees and royalties, while franchisees bill clients directly for care delivery and earn referral fees from partner assisted living communities.
Is Always Best Care a public or private company?
Always Best Care is a private company. It is classified as private equity controlled and is currently operating.
When was Always Best Care founded?
Always Best Care was founded in 1996. It employs 1 to 10 people.
Where is Always Best Care based?
Always Best Care is headquartered in Roseville, United States, in the North America region.
How does Always Best Care make money?
Three revenue lines are on record. Franchise Fees and Royalties are the primary driver. The others are client Service Fees and assisted Living Referral Fees.
Who are Always Best Care's main competitors?
Broad incumbents on record are BrightSpring Health Services and Interim HealthCare. Direct peers are Comfort Keepers, Visiting Angels, Right at Home, Senior Helpers, Home Instead (Honor Technology), A Place for Mom and Synergy HomeCare. Help at Home is listed as an emerging player.
Does Always Best Care have an API?
No public API is recorded for Always Best Care.
What industry is Always Best Care in?
Always Best Care's product category is Senior In-Home Care Services. Its primary akta.pro industry code is HSABAMAJ, Home Care Franchise Network Staffing & Placement, with a secondary code of HLADAGAI, Live-In & 24/7 In-Home Care. Its NAICS code is 624120 and its SIC code is 8082.